SISC, 2000 K Street Bakersfield, CA 93301
661.636.4710
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2015-2016 Safety Credit Application
Step
1
of
2
50%
School District Name
*
County
*
Name
*
First
Last
Email
*
Phone
*
Which bargaining units are interested?
*
(certificated, classified, etc)
Are full-time employees allowed to opt out or receive cash-in-lieu of benefits?
*
Approximately how many employees and retirees are covered?
*
What insurance companies do you currently contract with?
*
What type of rates do you have?
*
(composite, tiered, etc)
What is the anniversary date of your plan?
*
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